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General NPI Number Information
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NPI Number | 1780454116
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Entity Type | Individual
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Provider Name | AUBRIE R BIRD PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/05/2024
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Last Update Date | 07/05/2024
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Provider Practice Location Address
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Address Line | 4951 W 18TH ST
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City | LAWRENCE
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State | KS
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Zip | 66047-2090
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Country | US
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Telephone | 785-832-2865
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Fax | 785-841-3129
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Provider Business Mailing Address
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Address Line | 4951 W 18TH ST
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City | LAWRENCE
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State | KS
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Zip | 66047-2090
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Country | US
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Telephone | 785-832-2865
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Fax | 785-841-3129
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 15-02884
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License Number State | KS
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